Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09501 | Date 21/04/2021 |
| Token No | SM/21-22/656 21/04/2021 | Serial | 015 Last Visit: 15/02/2022 |
| Patient Name | Mrs. PADMA KHAN | Contact No | 9088886249 |
| Address | BARO BELU ,BELUMILKI, | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||